集束化护理在手术室预防下肢深静脉血栓中的应用  

Application of cluster nursing in prevention of lower extremity deep vein thrombosis in operating room

作　　者：汪晶晶 阎莉[1] 张建梅[1] WANG Jingjing;YAN Li;ZHANG Jianmei(Department of Surgical Anesthesiology,Huaian First People’s Hospital,Jiangsu Province,Huaian223300,China)

机构地区：[1]江苏省淮安市第一人民医院手术麻醉科,江苏淮安223300

出　　处：《中国医药导报》2021年第36期146-149,共4页China Medical Herald

基　　金：江苏省高层次卫生人才“六个一工程”拔尖人才项目(LGY2019037)。

摘　　要：目的探讨集束化护理在手术室预防下肢深静脉血栓中的应用效果。方法选取2019年11月至2020年10月在江苏省淮安市第一人民医院手术室行手术治疗的患者84例,根据随机数字表法分为对照组和实验组,每组各42例。对照组接受常规护理;实验组在对照组的基础上由下肢深静脉血栓集束化护理小组进行术前、术中、术后护理。术后1周对患者下肢深静脉血栓的发生情况、各种凝血相关指标、下肢疼痛情况进行评价。结果干预后,实验组血栓发生率明显低于对照组,差异有统计学意义(P<0.05);干预后,对照组凝血功能指标与本组干预前比较,差异无统计学意义(P>0.05),实验组血浆D-二聚体低于干预前,且实验组低于对照组,差异有统计学意义(P<0.05);实验组下肢疼痛情况明显优于对照组,差异有统计学意义(P<0.05)。结论集束化护理在手术室预防下肢深静脉血栓中的应用效果显著,临床应用价值较高。Objective To explore the application effect of cluster nursing in preventing lower extremity deep vein thrombosis in operating room.Methods A total of 84 patients who received surgical treatment in the operating room of Huaian First People’s Hospital of Jiangsu Province from November 2019 to October 2020 were selected,and they were divided into experimental group and control group according to random number table method,with 42 cases in each group.The control group received routine nursing,on the basis of the control group,preoperative,intraoperative and postoperative nursing were performed in the experimental group by the bundle nursing group of deep vein thrombosis in the lower extremity.The incidence of deep vein thrombosis in lower extremity,various coagulation related indexes and lower extremity pain were evaluated one week after operation.Results After intervention,the incidence of thrombosis in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the coagulation function indexes of the control group were compared with those before intervention,and the differences were not statistically significant(P>0.05).Plasma D-dimer in experimental group was lower than that befor intervention,and the experimental group was lower than the control group,and the differences were statistically significant(P<0.05).Lower limb pain in experimental group was significantly better than that in control group,and the difference was statistically significant(P<0.05).Conclusion The application of cluster nursing in the prevention of lower extremity deep vein thrombosis in operating room has remarkable effect and high clinical value.

关 键 词：集束化护理 手术室 预防 深静脉血栓 

分 类 号：R473[医药卫生—护理学]